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Authorised allergen products for intracutaneous testing may no longer be available in Germany
Abstract Background:Beside the skin prick test, the intracu-taneous test represents the most important skin test method for detecting type-1 allergies. With the in-corporation of European directives into national law, test allergens used for allergy diagnosis are
deemed medicinal products within the meaning of the German Medicinal Products Act (Arzneimittel-gesetz) and therefore require marketing authorisa-tion for distribution in Germany. e high costs of acquiring and maintaining these authorisations have lead to no new nished intracutaneous test products being authorized in Germany for more than 20 years. Instead, most manufacturers have
voluntarily withdrawn their existing marketing au-thorisations for intracutaneous test extracts. e last manufacturer to oer approved nished aller-gen products for intracutaneous tests recently an-nounced that it would now cease production and distribution of these solutions.Methods:Research on the current European and German legislation; selective literature search in Medline, including national and international guidelines and Cochrane meta-analyses; licensing information on the Paul-Ehrlich-Institute home-page (www.pei.de) as well as in the Bundesanzeiger (Federal Gazette).
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